Boston Scientific Corporation · NYSE:BSX
Boston Scientific — Technical Presentation (November 2006)
8 slides from Boston Scientific's technical presentation, November 2006
Slide 1: Pulmonary Artery Embolectomy
Pulmonary Artery Embolectomy Ramin Malekan, M.D. Assistant Professor of Cardiothoracic Surgery Westchester Medical Center Valhalla, NY 10595 Steven L. Lansman, M.D. Professor and Chief Division of Cardiothoracic Surgery Westchester Medical Center
Slide 2: Clinical Presentation
Clinical Presentation • 51 y.o. obese female • Presented with severe head ache, nausea, Vomiting, blurred vision • h/o breast cancer 3 years ago • Right mastectomy/ chemo, RT • h/o sarcoidosis • Family h/o sister with cerebral aneurysm
Slide 3: Clinical Presentation
Clinical Presentation • CT head: subarachnoid hemorrhage, grade I, no other sig findings • Treated with steroids, improved with no neurologic deficit; discharge planning • HD # 7 suffered acute episode of SOB,Hypoxia, tachycardic • Required pressors for Hemodynamic support
Slide 4: CTPA
Boston NS) cientific RD: 406 ss : RD: 406 Tilt: ” — Tilt: O mA: 4 Z: 4) m4: 414 KY KVp: 120 Acq no N Acq no Compres Page: 1 of 10 IM: 7 Page: 1 of
Slide 5: OR Course
OR Course • TEE right heart strain, Dilated RA, RV • Emergent pulmonary embolectomy • Cardiopulmonary bypass with beating heart, hypothermia to 32 º C • Main PA trunk opened, pump flow reduced, Bilateral PE extracted • Pt weaned off bypass on moderate ionotrops
Slide 6: OR Findings
OR Findings Srieunne
Slide 7: Hospital Course
Hospital Course • An IVC filter placed post embolectomy, in OR • Pt was weaned off pressors over the next few days, and extubated • Developed thrombocytopenia/heparin induced thrombocytopenia • Treated with direct thrombin inhibitor/coumadin
Slide 8: Hospital Course
Hospital Course • Discharged home on POD #18
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